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Home Fire Safety & Smoke Detector/Carbon Monoxide Alarm Checks

Date of Request:  Month Day 2023

Address: (must be in the city limits of New Bern)

City or Town:



How many stories tall is your home?
 1 Story  2 Story  3 Story 

Number of bedrooms:
 1 Bedroom   2 Bedrooms  3 Bedrooms  4 Bedrooms  5 Bedrooms

Number of smoke alarms currently installed:
 1 Smoke Alarm  2 Smoke Alarms  3 Smoke Alarms  4 Smoke Alarms  5 Smoke Alarms  Other

Do you use gas (natural or propane) or have a fireplace?
 Yes  No

Do you have an attached garage?
 Yes  No

Do you own or rent your home?
 I own my home.  I rent my home.